Recently, multimodal depression recognition for clinical interviews (MDRC) has recently attracted considerable attention. Existing MDRC studies mainly focus on improving task performance and have achieved significant development. However, for clinical applications, model transparency is critical, and previous works ignore the interpretability of decision-making processes. To address this issue, we propose an Explainable Multimodal Depression Recognition for Clinical Interviews (EMDRC) task, which aims to provide evidence for depression recognition by summarizing symptoms and uncovering underlying causes. Given an interviewer-participant interaction scenario, the goal of EMDRC is to structured summarize participant's symptoms based on the eight-item Patient Health Questionnaire depression scale (PHQ-8), and predict their depression severity. To tackle the EMDRC task, we construct a new dataset based on an existing MDRC dataset. Moreover, we utilize the PHQ-8 and propose a PHQ-aware multimodal multi-task learning framework, which captures the utterance-level symptom-related semantic information to help generate dialogue-level summary. Experiment results on our annotated dataset demonstrate the superiority of our proposed methods over baseline systems on the EMDRC task.

In a depression-diagnosis-directed clinical session, doctors initiate a conversation with ample emotional support that guides the patients to expose their symptoms based on clinical diagnosis criteria. Such a dialogue system is distinguished from existing single-purpose human-machine dialog systems, as it combines task-oriented and chit-chats with uniqueness in dialogue topics and procedures. However, due to the social stigma associated with mental illness, the dialogue data related to depression consultation and diagnosis are rarely disclosed. Based on clinical depression diagnostic criteria ICD-11 and DSM-5, we designed a 3-phase procedure to construct D$^4$: a Chinese Dialogue Dataset for Depression-Diagnosis-Oriented Chat, which simulates the dialogue between doctors and patients during the diagnosis of depression, including diagnosis results and symptom summary given by professional psychiatrists for each conversation. Upon the newly-constructed dataset, four tasks mirroring the depression diagnosis process are established: response generation, topic prediction, dialog summary, and severity classification of depressive episode and suicide risk. Multi-scale evaluation results demonstrate that a more empathy-driven and diagnostic-accurate consultation dialogue system trained on our dataset can be achieved compared to rule-based bots.